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RYAN TETLA MD
NPI 1225613797
Student in an Organized Health Care Education/Training Program in Dayton, OH

Active since March 16, 2021PECOS Enrolled
1 WYOMING STREET, BG020, DAYTON, OH 45409(937) 208-2850 Get Directions Write a Review

NPPES record last updated: April 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2024, May 30, 2023, Jul 25, 2022 and 1 more (4 updates tracked since 2021).

About Ryan Tetla Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN TETLA MD (NPI 1225613797) is an individual student in an organized health care education/training program in Dayton, Ohio and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225613797
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRYAN TETLACredential: MD
Location Address1 WYOMING STREET, BG020Dayton, OH 45409
Mailing Address697 Louisiana RdDyess Afb, TX 79607-1141
Phone(937) 208-2850
Sole ProprietorNo
Enumeration DateMarch 16, 2021
Last NPPES UpdateApril 14, 20244 updates tracked since enumeration
NPPES CertifiedApril 14, 2024
✔ NPI 1225613797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 WYOMING STREET, BG020, Dayton, OH 45409
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Tetla Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$34.02 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$8.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRANDON WOLTERS
Student in an Organized Health Care Education/Training Program
1 WYOMING STREET, BG020
DAYTON, OH 45409
Montgomery County (937) 208-2850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Tetla's NPI number?

The NPI number for Ryan Tetla is 1225613797. It was assigned to this individual provider in the NPPES registry on March 16, 2021.

Where is Ryan Tetla located?

Ryan Tetla practices at 1 Wyoming Street, Bg020, Dayton, OH 45409. The listed phone number is (937) 208-2850.

What is Ryan Tetla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ryan Tetla enrolled in Medicare?

Yes. Ryan Tetla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Tetla was last updated on April 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.